MR. JOHN JAY GOODMAN (NPI# 1447444062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447444062 |
| Entity Type | Individual |
| Full Name | MR. JOHN JAY GOODMAN |
| Practice Address |
9268 Se Clinton St Portland OR 97266-1456 |
| Practice Telephone | 5038720480 |
| Practice Fax Number | 5038720481 |
| Mailing Telephone | 5038720480 |
| Mailing Fax Number | 5038720481 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172197 | John Spencer Goodman | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street Box # 356421, Seattle, WA 98195-0001 | 2020-04-03 |
| 1598994857 | John Andrew Goodman | Chiropractor | 427 W Main St Ste I, New Holland, PA 17557-1143 | 2009-07-08 |
| 1629197298 | John Paul Goodman | Massage Therapist | 4350 Waking Sky, Santa Fe, NM 87507-2573 | 2007-03-28 |
| 1053328997 | John L Goodman | Surgery | 1330 Rockefeller Ave Ste 120, Everett, WA 98201-1676 | 2006-08-02 |
| 1437153780 | John T Goodman | Dentist | 1022 W Mitchell St, Arlington, TX 76013-2543 | 2005-06-01 |
| 1043864903 | John Wesley Goodman Jr. | Pharmacist | 5336 10th St, Malone, FL 32445-3429 | 2019-07-30 |
| 1285981217 | John Michael Goodman | Dentist | 1920 S Nevada Ave, Colorado Springs, CO 80905 | 2012-08-09 |
| 1922219278 | John Andrew Goodman Jr. | Emergency Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2007-05-25 |
| 1336360155 | John G. Goodman II | Dentist | 3111 Southwest Blvd, San Angelo, TX 76904 | 2007-05-01 |
| 1972642932 | John Patrick A. Goodman | Dentist | 2700 Clay Edwards Dr, Suite 470, North Kansas City, MO 64116-3251 | 2007-02-06 |
| Street Address |
9268 SE CLINTON ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083768592 | Bruce A. Preston | Counselor | 9268 Se Clinton St, Portland, OR 97266-1456 | 2007-01-22 |
| 1659507937 | Megan Irby | Case Manager/Care Coordinator | 9268 Se Clinton St, Portland, OR 97266-1456 | 2009-06-01 |
| 1184850455 | Simon Williams | Counselor | 9268 Se Clinton St, Portland, OR 97266-1456 | 2009-06-01 |
| 1174777494 | Nathaniel Roberts Jr. | Case Manager/Care Coordinator | 9268 Se Clinton St, Portland, OR 97266-1456 | 2008-11-13 |
| 1598915902 | Christie Ann Fry | Adult Companion | 9268 Se Clinton St, Portland, OR 97266-1456 | 2008-09-22 |
| 1932230653 | Jala Akilah Waleed | Counselor | 9268 Se Clinton St, Portland, OR 97266-1456 | 2007-03-07 |
| 1497899421 | Eric Reed Snow | Counselor | 9268 Se Clinton St, 2100 Se Belmont, Portland, OR 97266-1456 | 2007-02-15 |
| 1801939707 | Rebecca Leigh Rainy | Counselor | 9268 Se Clinton St, Portland, OR 97266-1456 | 2007-02-14 |
| 1689714958 | Stephen Patrick O'sullivan | Counselor | 9268 Se Clinton St, Portland, OR 97266-1456 | 2007-02-07 |
| 1497894075 | Richard R. Roell | Social Worker | 9268 Se Clinton St, Portland, OR 97266-1456 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
| 1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
| 1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
| 1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
| 1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1669081659 | Amy Hill | Student in an Organized Health Care Education/Training Program | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 |
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1558986364 | Haley Bosco Doyle | Student in an Organized Health Care Education/Training Program | 3587 Se Grant St, Portland, OR 97214-5829 | 2020-06-08 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.